Evidence map›Paper›PMID 34047801›Full record

ArticleAbdominal radiology (New York)2021

Comparison of MRI, PET, and 18F-choline PET/MRI in patients with oligometastatic recurrent prostate cancer.

Laura Evangelista, Gianluca Cassarino, Alberto Lauro, Alessandro Morlacco, Matteo Sepulcri, Alex Ahn Li Nguyen, Francesco Ietto, Diego Cecchin, Carmelo Lacognata, Pietro Zucchetta

Open access · hybridAbstract read
In one paragraph

Article in Abdominal radiology (New York), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Laura EvangelistaNuclear Medicine Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy. laura.evangelista@unipd.it.ORCID http://orcid.org/0000-0002-5955-9488
Gianluca CassarinoNuclear Medicine Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy.
Alberto LauroRadiology Unit, University-Hospital of Padova, Padua, Italy.
Alessandro MorlaccoDepartment of Surgical Oncological and Gastroenterological Sciences, Urology University of Padua, Padua, Italy.
Matteo SepulcriRadiotherapy Oncology Unit, Veneto Institute of Oncology IOV - IRCCS, Padova, Italy.
Alex Ahn Li NguyenDepartment of Surgical Oncological and Gastroenterological Sciences, Urology University of Padua, Padua, Italy.
Francesco IettoNuclear Medicine Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy.
Diego CecchinNuclear Medicine Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy.
Carmelo LacognataRadiology Unit, University-Hospital of Padova, Padua, Italy.
Pietro ZucchettaNuclear Medicine Unit, Department of Medicine (DIMED), University of Padova, Via Giustiniani, 2, 35128, Padua, Italy.
University of Padua · ITIstituto Oncologico Veneto · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aims of the study were (i) to examine the PCa detection rate of 18F-choline (FCH) PET/MRI and (ii) to assess the impact of PET/MRI findings in patients with PCa who develop OMD using PSA response as a biomarker.

methodsWe retrospectively analyzed a cohort of 103 patients undergoing FCH PET/MRI for biochemical recurrence of PCa. The inclusion criteria were (1) previous radical prostatectomy (RP) with or without adjuvant radiotherapy (RT); (2) PSA levels available at the time of PET; (3) OMD, defined as a maximum of 5 lesions on PET/MRI; and (4) follow-up data available for at least 6 months after PET. All images were reviewed by two nuclear medicine physicians and interpreted with the support of two radiologists.

resultsSeventy patients were eligible for the study: 52 patients had a positive FCH PET/MRI and 18 had a negative scan. The overall PCa detection rates for MRI, PET, and PET/MRI were 65.7%, 37.1%, and 74.3%, respectively. Thirty-five patients were treated with radiotherapy (RT), 16 received hormonal therapy (HT), 3 had a combined therapy (RT + HT), and 16 (23%) underwent PSA surveillance. At follow-up, PSA levels decreased in 51 patients (73%), most of whom had been treated with RT or RT + HT. Therapeutic management was guided by PET/MRI in 74% of patients, which performed better than MRI alone (68% of patients).

conclusionFCH PET/MRI has a higher detection rate than MRI or PET alone for PCa patients with OMD and PSA levels > 0.5 ng/mL, prompting a better choice of treatment.

Indexed as

Neoplasm Recurrence, LocalProstatic NeoplasmsCholineHumansMagnetic Resonance ImagingMalePositron-Emission TomographyPositron Emission Tomography Computed TomographyProstatectomyProstate-Specific AntigenRetrospective StudiesCholinefluoromethylcholineProstate-Specific AntigenCholineMagnetic resonance imagingOligometastatic diseasePositron emission tomographyProstate cancer

Identifiers

PMID34047801
PMCPMC8346454
OpenAlexW3165328840

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.